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Summary

The best-selling textbook in the field, "The Last Dance" offers an interdisciplinary approach to the study of death and dying. Integrating the experiential, scholarly, social, individual, emotional, and intellectual dimensions of death and dying, the seventh edition of this acclaimed text has been thoroughly revised to offer cutting-edge and comprehensive coverage of death studies. Together with its companion volumes, this new edition of "The Last Dance" provides solid grounding in theory and research, as well as practical application to students' lives.

Table of Contents

Preface

xv

Prologue

1

(4)

David Gordon

CHAPTER I Attitudes Toward Death: A Climate of Change

5

(36)

Factors Affecting Familiarity with Death

7

(6)

Life Expectancy and Mortality Rates

8

(2)

Causes of Death

10

(1)

Geographical Mobility

11

(1)

Displacement of Death from the Home

11

(1)

Life-Extending Technologies

12

(1)

Expressions of Attitudes toward Death

13

(18)

Language

13

(2)

Humor

15

(2)

Mass Media

17

(1)

In the News

18

(2)

Entertaining Death

20

(3)

Music

23

(4)

Literature

27

(1)

Visual Arts

28

(3)

The Present Milieu: Death Attitudes and Awareness

31

(7)

Pioneers in Death Studies

33

(1)

The Rise of Death Education

34

(3)

Is Death Out of the Closet?

37

(1)

Examining Assumptions

38

(1)

Further Readings

39

(2)

CHAPTER 2 Perspectives on Death: Cross-Cultural and Historical

41

(38)

Death in Early and Traditional Cultures

42

(6)

Origin of Death

43

(1)

Causes of Death

44

(2)

Power of the Dead

46

(1)

Names of the Dead

47

(1)

Death and Dying in Western Culture

48

(10)

Dying and the Deathbed Scene

51

(2)

Burial Customs

53

(1)

Charnel Houses

53

(2)

Memorializing the Dead

55

(1)

The Dance of Death

56

(1)

Invisible Death?

57

(1)

Four Cultural Case Studies

58

(18)

Native American Traditions

58

(5)

African Traditions

63

(3)

Mexican Traditions

66

(3)

Asian Traditions

69

(7)

Rediscovering the Commemoration of Death

76

(1)

Further Readings

77

(2)

CHAPTER 3 Learning About Death: The Influence of Sociocultural Forces

79

(40)

A Mature Concept of Death

80

(2)

Sociocultural Influences on Our Understanding of Death

82

(25)

Theoretical Perspectives

83

(1)

The Structural-Functionalist Approach

83

(2)

Symbolic Interactionism

85

(3)

The Social Learning Approach

88

(1)

Agents of Socialization

88

(3)

Family

91

(1)

School and Peers

91

(3)

Mass Media

94

(3)

Religion

97

(2)

Other Agents

99

(1)

Early Experiences with Death

99

(4)

Teachable Moments

103

(4)

Death in Contemporary Multicultural Societies

107

(8)

Distinctive Traditions: Ethnicity and Pluralism

107

(2)

Mixed Plate: Ethnic Identity in Hawaii

109

(1)

Characteristics of Hawaii's Peoples

110

(3)

Assimilation and Accommodation in Death Rites

113

(2)

The Mature Concept of Death Revisited

115

(2)

Further Readings

117

(2)

CHAPTER 4 Health Care Systems: Patients, Staff, and Institutions

119

(32)

Modern Health Care

120

(5)

Health Care Financing

121

(3)

Rationing Scarce Resources

124

(1)

Care of the Dying

125

(14)

Palliative Care

126

(2)

Hospice Care

128

(1)

St. Christopher's Hospice

129

(2)

The Goals of Hospice Care

131

(1)

Challenges to Hospice Care

132

(2)

Palliative Care in Hospitals

134

(1)

Home Care

135

(1)

Social Support for the Dying

136

(1)

Trauma Care

137

(2)

The Patient-Caregiver Relationship

139

(4)

Disclosing a Life-Threatening Diagnosis

140

(1)

Achieving Clear Communication

140

(3)

Providing Total Care

143

(1)

Stress in the Helping Professions

143

(4)

Death in the ER

145

(1)

Coping with Dying and Death

146

(1)

Being with Someone Who Is Dying

147

(1)

Further Readings

148

(3)

CHAPTER 5 Facing Death: Living with Life-Threatening Illness

151

(40)

Personal and Social Meanings of Life-Threatening Illnesses

153

(2)

Coping with Life-Threatening Illness

155

(11)

Adapting to "Living/Dying"

156

(6)

Awareness of Dying

162

(1)

Maintaining Coping Potency

163

(3)

Treatment Options and Issues

166

(17)

Surgery

169

(1)

Radiation Therapy

170

(1)

Chemotherapy

171

(1)

Immunotherapy

172

(1)

Organ Transplantation

172

(2)

Alternative Therapies

174

(2)

Adjunctive Therapies

176

(2)

Unorthodox Treatment

178

(2)

Pain Management

180

(3)

The Dying Trajectory

183

(2)

The Social Role of the Dying Patient

185

(3)

Further Readings

188

(3)

CHAPTER 6 Medical Ethics: Dying in a Technological Age

191

(32)

Fundamental Ethical Principles

193

(1)

Informed Consent to Treatment

194

(5)

Choosing Death: Euthanasia and Allowing to Die

199

(12)

Nutrition and Hydration

204

(5)

Seriously Ill Newborns

209

(2)

Defining Death

211

(9)

The Traditional Signs of Death and the New Technology

212

(2)

Conceptual and Empirical Criteria

214

(1)

Four Approaches to the Definition and Determination of Death

215

(1)

Irreversible Loss of Flow of Vital Fluids

215

(1)

Irreversible Loss of the Soul from the Body

215

(2)

Irreversible Loss of the Capacity for Bodily Integration

217

(1)

Irreversible Loss of the Capacity for Consciousness or Social Interaction